MRS. Miriam Sawaya Blackmon, LMSW

NPI #1013589761 in Waco, Texas

Provider Information

NPI Number: 1013589761
Entity Type: Individual
Name: MRS. Miriam Sawaya Blackmon, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Jul 13, 2021
Last Updated: Jul 13, 2021

Practice Location

Address: 4800 MEMORIAL DR
City: Waco
State: Texas
ZIP Code: 76711-1329
Phone: (254) 413-6486

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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